Individual
MS. ALICE A CHADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13101 BRUCE B DOWNS BLVD, TAMPA, FL 33612-3803
(813) 974-0601
(813) 558-1313
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
OT11203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000789400
—
FL
05
—
889079000
—
FL
01
—
Z047U
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/29/2007
Last updated
06/02/2014
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